| Matrix Clinical Therapy Llc | |
|
47 Enterprise Dr Ste 220 Windham NH 03087-2032 | |
| (781) 367-6644 | |
| Not Available |
| Full Name | Matrix Clinical Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 47 Enterprise Dr Ste 220, Windham, New Hampshire |
| Authorized Official Name and Position | Jennifer Cutler (OWNER) |
| Authorized Official Contact | 7813676644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Clinical Therapy Llc 47 Enterprise Dr Ste 220 Windham NH 03087-2032 Ph: (781) 367-6644 | Matrix Clinical Therapy Llc 47 Enterprise Dr Ste 220 Windham NH 03087-2032 Ph: (781) 367-6644 |
| NPI Number | 1750123824 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 1254879562 |
|---|---|
| Medicare Enrollment ID | O20240819001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750123824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Cutler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265059737 PECOS PAC ID: 2163960477 Enrollment ID: I20240819001257 |
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